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If this is not treated right away, longer than 4 hours or painful erection.

Flushing; headache; heartburn; mild pain in the arms, legs, or back; muscle pain; nausea; stomach upset; stuffy nose.
If you notice a sudden decrease in vision or loss of vision in one or both eyes, contact your doctor right away.
Erections are caused by the increase of blood flow to the penis.
Tadalis SX may cause dizziness, drowsiness, fainting, or blurred vision.

Sit or lie down at the first sign of any of these effects. Tadalis SX may rarely cause a prolonged eg, contact your doctor right away.

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